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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAEYOUNG KIM, MD

Active

JAEYOUNG KIM, MD is a Sports Medicine (Orthopaedic) healthcare provider located in BOSTON, Massachusetts. NPI 1053016709 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · BOSTON, MA

Registration Details

NPI Number
1053016709
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2023 (3.3273331124769 yrs)
Last Updated
Jan 8, 2025
License
3015846 (MA)

Practice Information

Address
55 FRUIT ST
BOSTON, MA, 021142696
Browse MA providers · Browse ZIP 02114
Phone
6177262000
Primary Specialty
Sports Medicine (Orthopaedic)
207XX0004X
Additional Specialty
Sports Medicine (Orthopaedic)

Other Sports Medicine (Orthopaedic) Providers in BOSTON, MA

Name Credential NPI
GEORGE H THEODORE M.D. 1639171101
DR. YECHIEL NISAN GELLMAN MD, MSC 1093210718
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.